EP2995267A1 - Vorrichtungen, systeme und verfahren für aseptischen transfer zur aufrechterhaltung der sterilität von chirurgischen instrumenten - Google Patents

Vorrichtungen, systeme und verfahren für aseptischen transfer zur aufrechterhaltung der sterilität von chirurgischen instrumenten Download PDF

Info

Publication number
EP2995267A1
EP2995267A1 EP15177220.9A EP15177220A EP2995267A1 EP 2995267 A1 EP2995267 A1 EP 2995267A1 EP 15177220 A EP15177220 A EP 15177220A EP 2995267 A1 EP2995267 A1 EP 2995267A1
Authority
EP
European Patent Office
Prior art keywords
battery
jacket
assembly
surgical instrument
battery assembly
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP15177220.9A
Other languages
English (en)
French (fr)
Other versions
EP2995267B1 (de
Inventor
Hung Lieu
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Covidien LP
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Covidien LP filed Critical Covidien LP
Publication of EP2995267A1 publication Critical patent/EP2995267A1/de
Application granted granted Critical
Publication of EP2995267B1 publication Critical patent/EP2995267B1/de
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/00734Aspects not otherwise provided for battery operated
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320093Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing cutting operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320094Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00172Connectors and adapters therefor
    • A61B2018/00178Electrical connectors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/0091Handpieces of the surgical instrument or device
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206Generators therefor
    • A61B2018/1226Generators therefor powered by a battery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B2018/1452Probes having pivoting end effectors, e.g. forceps including means for cutting
    • A61B2018/1455Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0813Accessories designed for easy sterilising, i.e. re-usable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/04Constructional details of apparatus
    • A61B2560/0456Apparatus provided with a docking unit

Definitions

  • the present disclosure relates to aseptic battery transfer. More particularly, the present disclosure relates to devices, systems, and methods for the aseptic transfer of a battery assembly between a battery charger and surgical instrument while maintaining the sterility of the surgical instrument.
  • Battery-powered surgical instruments are advantageous in that they obviate the need for cables coupling the device to an electrical outlet or external power source.
  • a typical rechargeable battery assembly for a battery-powered surgical instrument includes a housing containing one or more battery cells coupled to one another via a powering circuit through which the battery assembly is able to provide electrical power to the surgical instrument and receive electrical power from a charger.
  • Maintaining sterility in a surgical environment reduces the likelihood of infection and helps prevent the spread of disease.
  • surgical instrumentation is sterilized and maintained in sterile condition prior to entering the sterile surgical environment.
  • Reusable surgical instruments, or reusable components of surgical instruments are thus required to be sterilized, e.g., via autoclaving, using a Sterrad® system, etc., after each use and/or prior to re-entering the sterile surgical environment.
  • Rechargeable battery assemblies require charging intermediately during use, after each use, or after several uses. Transfer of these rechargeable battery assemblies between the charging area and the surgical environment typically involves multiple transitions and/or points at which contamination may occur. Further, many of the rechargeable battery assemblies used in conjunction with surgical instrumentation are unfit for standard sterilization techniques, e.g., autoclaving. Accordingly, the ability to aseptically transfer the rechargeable battery assemblies between the charging area and the surgical environment is desirable.
  • distal refers to the portion that is being described which is further from a user
  • proximal refers to the portion that is being described which is closer to a user
  • a method of transferring a battery assembly to a battery-powered surgical instrument comprises releasably engaging a battery jacket with a battery assembly, transferring the battery jacket, having the battery assembly engaged thereto, to a battery powered surgical instrument, and releasably engaging the battery jacket with a handle of the battery-powered surgical instrument such that the battery assembly is electrically coupled to the battery-powered surgical instrument and such that the battery jacket and the handle cooperate to enclose the battery assembly therein.
  • the method of releasably engaging the battery jacket with the battery assembly includes inserting the battery jacket about the battery assembly.
  • the battery jacket is releasably engaged about the battery assembly via a snap-fit engagement.
  • the method of releasably engaging the battery jacket with the battery assembly is performed while the battery assembly is operably coupled to a battery charging device.
  • the battery jacket is inserted at least partially into the handle of the battery-powered surgical instrument and releasably engaged therein.
  • the method of releasably engaging the battery jacket with the handle of the battery-powered surgical instrument sealingly encloses the battery assembly within the handle of the battery-powered surgical instrument.
  • the battery jacket is releasably engaged within the handle of the battery-powered surgical instrument via a snap-fit engagement.
  • transferring the battery jacket to the battery-powered surgical instrument includes transferring the battery jacket from a non-sterile environment into a sterile environment.
  • the method of transferring a battery assembly to a battery-powered surgical instrument further includes disengaging the battery jacket from the handle of the battery-powered surgical instrument, and withdrawing the battery jacket, having the battery assembly engaged therein, from the battery-powered surgical instrument.
  • the method further includes transferring the battery jacket to a battery charging device, and manipulating the battery jacket to operably couple the battery assembly to the battery charging device. In another aspect of the present disclosure, the method further includes disengaging the battery jacket from about the battery assembly. In still yet another aspect of the present disclosure, the method further includes sterilizing the battery jacket.
  • a system is also provided in accordance with the present disclosure.
  • the system comprises a battery-powered surgical instrument including a housing, a shaft extending distally from the housing, and an end effector assembly disposed at a distal end of the shaft.
  • the housing includes a handle, a battery assembly, and a battery jacket defining an interior area configured to receive and releasably engage at least a portion of the battery assembly therein.
  • the battery jacket is configured for insertion at least partially into the handle of the battery-powered surgical instrument in releasable engagement therewith to operably couple the battery assembly to the battery-powered surgical instrument and enclose the battery assembly therein.
  • the battery assembly of the system in the present disclosure may be a non-sterilizable, reusable component. Further, the battery jacket may be disposable or sterilizable.
  • the battery jacket includes at least one first engagement member and the battery assembly includes at least one second engagement member.
  • the first and second engagement members are configured to releasably engage one another to releasably engage the battery jacket and battery assembly to one another upon insertion of the battery jacket about the batter assembly. Further, the first and second engagement members may be configured for releasable snap-fit engagement with one another.
  • the battery jacket defines a body portion having an open first end and a closed second end defining a lip.
  • the battery jacket further includes a gasket disposed about the body portion adjacent the lip. The gasket is configured to sealingly engage the battery assembly between the battery jacket and the handle of the battery-powered surgical instrument upon releasable engagement of the battery jacket with the handle of the battery-powered surgical instrument.
  • the system of the present disclosure may further include a battery charging device configured to operably couple to the battery assembly.
  • the battery jacket is configured to releasably engage with the battery assembly when the battery assembly is operably coupled to the battery charging device, without interrupting the operable coupling therebetween.
  • FIG. 1 depicts an exemplary embodiment of a portable, battery-powered electrosurgical instrument 2
  • FIG. 2 depicts an exemplary embodiment of a portable, battery-powered ultrasonic surgical instrument 102.
  • an electrosurgical instrument e.g., instrument 2
  • an ultrasonic instrument e.g., instrument 102
  • any other suitable battery-powered device may be utilized in accordance with the present disclosure.
  • electrosurgical instrument 2 and ultrasonic instrument 102 are generally described.
  • electrosurgical instrument 2 shown as an electrosurgical forceps, generally includes a housing 4, a battery assembly 118, an electrosurgical generator 28, a handle assembly 6, a rotating assembly 7, a shaft 8, a trigger assembly 10, a drive assembly (not shown), and an end effector assembly 12.
  • End effector assembly 12 operatively connects to handle assembly 6 via the drive assembly (not shown) for imparting movement of one or both of jaw members 14, 16 of end effector assembly 12 between a spaced-apart position and an approximated position for grasping tissue therebetween.
  • shaft 8 is coupled to housing 4 at proximal end 20 thereof and extends distally from housing 4 to define a longitudinal axis "A-A.”
  • End effector assembly 12 including jaw members 14 and 16, is disposed at a distal end 22 of shaft 8.
  • End effector assembly 12 is shown configured as a unilateral assembly wherein jaw member 16 is fixed relative to shaft 8 and jaw member 14 is pivotable relative to jaw member 16 and shaft 8 between the spaced-apart and approximated positions. However, this configuration may be reversed, e.g., wherein jaw member 14 is fixed relative to shaft 8 and jaw member 16 is pivotable relative to jaw member 14 and shaft 8.
  • end effector assembly 12 may be configured as a bilateral assembly, e.g., wherein both jaw members 14, 16 are pivotable relative to one another and shaft 8 between the spaced-apart and approximated positions.
  • Electrosurgical instrument 2 may be configured as a bipolar instrument. That is, each of the jaw members 14, 16 may include a respective conductive plate 15, 17 that is configured to function as an active (or activatable) and/or return electrode. Each conductive plate 15, 17 is electrically coupled to generator 28 via one or more electrical leads (not shown) that extend from generator 28, through shaft 8, and eventually coupling to one or both of conductive plates 15, 17 for conducting energy through tissue grasped therebetween.
  • forceps 2 may alternatively be configured as a monopolar instrument.
  • Handle assembly 6 includes a moveable handle 40 that is movable relative to a fixed handle portion 42 of housing 4 for moving jaw members 14, 16 of end effector assembly 12 between the spaced-apart and approximated positions.
  • Rotating assembly 7 is rotatable in either direction about longitudinal axis "A-A" to rotate shaft 8 and, thus, end effector assembly 12 about longitudinal axis "A-A.”
  • Trigger assembly 10 is in operable communication with a knife assembly (not shown) including a knife blade (not shown) that is selectively translatable between jaw members 14, 16 to cut tissue grasped therebetween, e.g., upon actuation of trigger 11 of trigger assembly 10.
  • housing 4 is configured to operably engage electrosurgical generator 28 and battery assembly 118.
  • Generator 28 is releasably engagable with body portion 44 of housing 4, while battery assembly 118 is releasably engagable within fixed handle portion 42 of housing 4 via the use of battery jacket 200 ( FIG. 5 ), as detailed below.
  • battery jacket 200 FIG. 5
  • battery jacket 200 having battery assembly 118 disposed therein, is configured for insertion into and engagement with fixed handle portion 42 of housing 4 such that battery assembly 118 is operably engaged within fixed handle portion 42.
  • the plurality of contacts 182 ( FIG. 3 ) of battery assembly 118 electrically couple with electrical contacts 41 of generator 28.
  • Generator 28 releasably engages body portion 44 of housing 4 and may be selectively removable from body portion 44 either in connection with the removal battery assembly 118 or independently.
  • generator 28 When forceps 2 is assembled, generator 28 is disposed in operable communication with battery assembly 118, e.g., via coupling of contacts 41 and 182 ( FIG. 3 ), to provide electrosurgical energy to end effector 12 for electrosurgically treating tissue, although forceps 2 may alternatively be configured to deliver any other suitable form of energy to tissue, e.g., thermal energy, microwave energy, light energy, etc.
  • generator 28 may include suitable electronics that convert the electrical energy from battery assembly 118 into an RF energy waveform to energize one or both of jaw members 14, 16. That is, generator 28 may be configured to transmit RF energy to conductive plate 15 of jaw member 14 and/or conductive plate 17 of jaw member 16 to conduct energy therebetween for treating tissue.
  • Activation switch 1 disposed on housing 4 is activatable for selectively enabling generator 28 to generate and subsequently transmit RF energy to conductive plate 15 and/or conductive plate 17 of jaw members 14, 16, respectively, for treating tissue grasped therebetween.
  • ultrasonic instrument 102 includes components similar to that of forceps 2 shown in FIG. 1 , namely, a housing 104, a battery assembly 118, a generator 128, a handle assembly 106, a shaft 108, and an end effector assembly 112. Accordingly, only the differences between ultrasonic instrument 102 and forceps 2 ( FIG. 1 ) will be described in detail below.
  • Housing 104 is configured to releasably engage ultrasonic generator 128 and releasably receive battery assembly 118 (via the use of battery jacket 200 ( FIG. 5 )).
  • Shaft 108 extends distally from housing 104 to define longitudinal axis "B-B" and includes end effector assembly 112 disposed at distal end 122 thereof.
  • One or both of jaw members 114 and 116 of end effector assembly 112 are movable relative to one another, e.g., upon actuation of moveable handle 124, between an open position and a clamping position for grasping tissue therebetween.
  • one of the jaw members e.g., jaw member 116, serves as an active or oscillating ultrasonic blade that is selectively activatable to ultrasonically treat tissue grasped between jaw members 114, 116.
  • Generator 128 includes a transducer (not shown) configured to convert electrical energy provided by battery assembly 118 into mechanical energy that produces motion at the end of a waveguide, e.g., at blade 116. More specifically, the electronics (not explicitly shown) of the generator 128 convert the electrical energy provided by battery assembly 118 into a high voltage AC waveform that drives the transducer (not shown). When the transducer (not shown) and the waveguide are driven at their resonant frequency, mechanical, e.g., ultrasonic, motion is produced at the active jaw member 116 for treating tissue grasped between jaw members 114, 116. Further, an activation button 110 disposed on housing 104 is selectively activatable to operate instrument 102 in two modes of operation: a low-power mode of operation and a high-power mode of operation.
  • battery assembly 118 generally includes an outer housing 130, a battery pack 140, battery circuitry 159, and a contact cap 180.
  • Outer housing 130 of battery assembly 118 is formed from first and second housing parts 132, 134 that cooperate to house battery pack 140 and battery circuitry 159.
  • Housing parts 132, 134 contain nubs 136 configured to engage with a corresponding notch 203 ( FIG. 5 ) on sterile battery jacket 200 ( FIG. 5 ), as detailed below, although other suitable engagement features are also contemplated.
  • Housing parts 132, 134 define cut-outs 133, 135, respectively, that cooperate to form a window configured to retain contact cap 180.
  • Contact cap 180 is electrically coupled to battery circuitry 159, which, in turn, is electrically coupled to battery pack 140.
  • Contact cap 180 includes a plurality of contacts 182 configured to provide an electrical interface between battery assembly 118, e.g., battery pack 140 and battery circuitry 159, and the corresponding battery-powered surgical instrument to which battery assembly 118 is coupled, e.g., electrosurgical instrument 2 ( FIG. 1 ) or ultrasonic instrument 102 ( FIG. 2 ), as well as a battery charging device, e.g., charging assembly 300 ( FIG. 6 ), for transmitting power and/or control signals therebetween.
  • Battery pack 140 includes one or more battery cells 142, e.g., four (4) battery cells 142a-142d, although greater or fewer battery cells 142a-142d are also contemplated.
  • FIG. 5 With respect to the sterilization of battery assemblies, it has been found that the risk of thermal runaway and/or other damage is increased in instances where the state of charge of the battery assembly approaches 100%, e.g., when the battery is fully or near-fully charged. Thus, after use, it is desirable to sterilize the battery assembly prior to charging the battery assembly, rather than the other way around. However, sterilizing the battery assembly prior to charging the battery assembly requires that the battery assembly be maintained in a sterile condition during the charging process. Such is also the case where re-charging of the battery assembly is required during a surgical procedure.
  • the present disclosure provides battery jackets configured to facilitate the transfer of an unsterilized battery assembly to a sterilized surgical instrument for use therewith without compromising the sterile field. That is, the battery jackets provided herein allow for an unsterilized battery assembly and/or a battery assembly that has been charged in an unsterilized environment, to be transferred and used in a sterile environment without the risk of contamination.
  • battery jacket 200 includes a closed distal end 201 and an open proximal end 202.
  • Battery jacket 200 defines a hollow interior 204 accessible through the open proximal end 202 that is configured to receive battery assembly 118 ( FIG. 3 ) or other suitable battery assembly.
  • battery jacket 200 defines a length dimension equal to or greater than that of battery assembly 118 to enable full receipt of battery assembly 118 therein.
  • battery jacket 200 is shaped to complement battery assembly 118 to securely retain battery assembly 118 within battery jacket 200.
  • the open proximal end 202 of battery jacket 200 enables contact cap 180 of battery assembly 118 to remain exposed once battery assembly 118 is inserted therein.
  • contact cap 180 includes contacts 182 that provide an electrical interface between battery assembly 118 and both the battery-powered surgical instrument and the battery charging device for transmitting power and/or control signals therebetween.
  • Battery jacket 200 is made from a sterilizable metal or other suitable material, e.g. thermoplastics such as polycarbonate and low-density polyethylene (LDPE), Udel®, Ultem®, ABS etc.
  • LDPE low-density polyethylene
  • battery jacket 200 can be reused and sterilized in the same methods, and in the same package, as reusable surgical instruments, or reusable components of surgical instruments, e.g. via autoclaving or using a Sterrad® system, after each use and/or prior to re-entering the sterile surgical environment.
  • battery jacket 200 can be disposable or sterilizable separately.
  • one or more locking member(s) 207 are disposed on the exterior surface of battery jacket 200. Each locking member 207 is configured to releasably engage a corresponding locking slot 43 defined on the interior surface of fixed handle 42 of surgical instrument 2 ( FIG. 1 ). In embodiments, locking member 207 may be spring loaded to facilitate the engagement and disengagement from locking slot 43 of fixed handle 42. In use, locking member 207 is initially compressed upon insertion of battery jacket 200 and battery assembly 118 into fixed handle 42.
  • Locking slot 43 consists of a moveable membrane 45 that allows a user to compress locking member 207, allowing battery jacket 200 and battery assembly 118 to be disengaged and subsequently removed from fixed handle portion 42.
  • Other configurations of releasable locking features to releasably secure battery jacket 200 and battery assembly 118 within fixed handle portion 42 are also contemplated.
  • battery jacket 200 further contains a locking mechanism to removably engage battery assembly 118 within battery jacket 200 upon insertion of battery jacket 200 about battery assembly 118.
  • the locking mechanism includes a notch 203 defined within battery jacket 200 that is configured to engage a corresponding nub 136 of battery assembly 118 to lock battery jacket 200 about battery assembly 118. More specifically, upon insertion of battery jacket 200 about battery assembly 118 and upon application of sufficient urging thereto, nub 136 urges battery jacket 200 to flex to expand notch 203 and permit the corresponding nub 136 to pass through the reduced-diameter portion of notch 203 and be seated therein, e.g., via snap-fit engagement.
  • nub 136 is seated or snap-fit into notch 203, battery jacket 200 is permitted to return to its at-rest position, retaining nub 136 therein such that battery assembly 118 is securely retained within battery jacket 200.
  • nub 136 causes battery jacket 200 to flex to expand notch 203 and permit withdrawal of nub 136 from notch 203, thereby disengaging battery jacket from battery assembly 118.
  • Battery jacket 200 may further include a raised portion (not shown) disposed about notch 203 to inhibit exposure of nub 136 of battery assembly 118 when battery assembly 118 is received within battery jacket 200.
  • a notch and nub locking mechanism is provided, other configurations of locking mechanisms are also contemplated.
  • battery jacket 200 further contains a raised lip 205 extending about the exterior of the closed distal end 201 thereof.
  • a gasket 206 is disposed on raised lip 205 and about the body of battery jacket 200. Upon engagement of battery jacket 200 with fixed handle portion 42 ( FIG. 10 ), gasket 206 is compressed between the free end of fixed handle portion 42 ( FIG. 10 ) and raised lip 205 to establish a fluid-tight seal between battery jacket 200 and fixed handle portion 42, thus inhibiting the passage of fluids therebetween.
  • battery assembly 118 is shown operably coupled to a charging assembly 300. Although shown engaged with charging assembly 300, the following also applies to instances where battery assembly 118 is coupled to a staging bay or other holding device.
  • battery jacket 200 can be inserted about battery assembly 118 and engaged therewith, as detailed above, without the need to touch or directly contact battery assembly 118 and/or charging assembly 300. Once battery jacket 200 is snapped, or locked, in engagement about battery assembly 118, battery jacket 200 can be manipulated to decouple and remove battery assembly 118 from the charging assembly 300. Thereafter, battery jacket 200, with battery assembly 118 engaged therein as shown in FIG. 8 , can be transferred into a sterile surgical arena and, ultimately, engaged with surgical instrument 2 ( FIG. 1 ) without the risk of contamination.
  • battery jacket 200 is inserted into fixed handle portion 42 of surgical instrument 2 until locking member 207 is engaged within locking slot 43, thereby securing battery jacket 200 and battery assembly 118 within fixed handle portion 42 of surgical instrument 2 such that contacts 182 of battery assembly 118 are disposed in communication with the contacts 41 of generator 28 of surgical instrument 2 and such that gasket 206 is compressed between raised lip 205 of sterile battery jacket 200 and fixed handle portion handle 42 of electrosurgical instrument 2 to establish a fluid-tight seal therebetween.
  • a spring mechanism (not shown) may be provided to provide sufficient urging upon release of locking mechanism to eject battery assembly 118 and sterile battery jacket 200.
  • sterile battery jacket 200 may be removed from battery assembly 118 and discarded or sterilized for reuse use, while battery assembly 118 is connected to a charger or other suitable device for recharging, storage, updating, etc.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Ophthalmology & Optometry (AREA)
  • Battery Mounting, Suspending (AREA)
  • Radiology & Medical Imaging (AREA)
  • Dentistry (AREA)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)
EP15177220.9A 2014-09-15 2015-07-17 Vorrichtungen, systeme und verfahren für aseptischen transfer zur aufrechterhaltung der sterilität von chirurgischen instrumenten Active EP2995267B1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201462050470P 2014-09-15 2014-09-15
US14/797,459 US10080604B2 (en) 2014-09-15 2015-07-13 Aseptic transfer devices, systems, and methods for maintaining the sterility of surgical instruments

Publications (2)

Publication Number Publication Date
EP2995267A1 true EP2995267A1 (de) 2016-03-16
EP2995267B1 EP2995267B1 (de) 2018-07-11

Family

ID=53969090

Family Applications (1)

Application Number Title Priority Date Filing Date
EP15177220.9A Active EP2995267B1 (de) 2014-09-15 2015-07-17 Vorrichtungen, systeme und verfahren für aseptischen transfer zur aufrechterhaltung der sterilität von chirurgischen instrumenten

Country Status (2)

Country Link
US (2) US10080604B2 (de)
EP (1) EP2995267B1 (de)

Families Citing this family (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11806062B2 (en) 2018-09-07 2023-11-07 Cilag Gmbh International Surgical modular energy system with a segmented backplane
US20200078113A1 (en) 2018-09-07 2020-03-12 Ethicon Llc Port presence detection system for modular energy system
US11923084B2 (en) 2018-09-07 2024-03-05 Cilag Gmbh International First and second communication protocol arrangement for driving primary and secondary devices through a single port
US11804679B2 (en) 2018-09-07 2023-10-31 Cilag Gmbh International Flexible hand-switch circuit
US11743665B2 (en) 2019-03-29 2023-08-29 Cilag Gmbh International Modular surgical energy system with module positional awareness sensing with time counter
USD939545S1 (en) 2019-09-05 2021-12-28 Cilag Gmbh International Display panel or portion thereof with graphical user interface for energy module
US12004824B2 (en) 2021-03-30 2024-06-11 Cilag Gmbh International Architecture for modular energy system
US11857252B2 (en) 2021-03-30 2024-01-02 Cilag Gmbh International Bezel with light blocking features for modular energy system
US11963727B2 (en) 2021-03-30 2024-04-23 Cilag Gmbh International Method for system architecture for modular energy system
US11968776B2 (en) 2021-03-30 2024-04-23 Cilag Gmbh International Method for mechanical packaging for modular energy system
US11980411B2 (en) 2021-03-30 2024-05-14 Cilag Gmbh International Header for modular energy system
US12040749B2 (en) 2021-03-30 2024-07-16 Cilag Gmbh International Modular energy system with dual amplifiers and techniques for updating parameters thereof
US11950860B2 (en) 2021-03-30 2024-04-09 Cilag Gmbh International User interface mitigation techniques for modular energy systems
US11978554B2 (en) 2021-03-30 2024-05-07 Cilag Gmbh International Radio frequency identification token for wireless surgical instruments
US12079460B2 (en) 2022-06-28 2024-09-03 Cilag Gmbh International Profiles for modular energy system

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998006144A1 (en) * 1996-08-05 1998-02-12 Minnesota Mining And Manufacturing Company Sterilizable battery enclosure
US20030149424A1 (en) * 2002-02-07 2003-08-07 Barlev B. Alex Sterile transfer battery container
WO2007090025A1 (en) * 2006-01-27 2007-08-09 Stryker Corporation Aseptic battery assembly with removable, rechargeable battery pack, the battery pack adapted to be used with a conventional charger

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4641076A (en) 1985-01-23 1987-02-03 Hall Surgical-Division Of Zimmer, Inc. Method and apparatus for sterilizing and charging batteries
US5207697A (en) * 1991-06-27 1993-05-04 Stryker Corporation Battery powered surgical handpiece
US6018227A (en) * 1998-06-22 2000-01-25 Stryker Corporation Battery charger especially useful with sterilizable, rechargeable battery packs
US6917183B2 (en) 2002-05-01 2005-07-12 Linvatec Corporation Battery pack for sterile transfer battery container
US20060206100A1 (en) * 2005-03-09 2006-09-14 Brasseler Usa Medical Llc Surgical apparatus and power module for same, and a method of preparing a surgical apparatus
US9107690B2 (en) * 2007-12-03 2015-08-18 Covidien Ag Battery-powered hand-held ultrasonic surgical cautery cutting device
WO2009111740A2 (en) * 2008-03-07 2009-09-11 Milwaukee Electric Tool Corporation Visual inspection device
US9289212B2 (en) * 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
US9017851B2 (en) * 2010-11-05 2015-04-28 Ethicon Endo-Surgery, Inc. Sterile housing for non-sterile medical device component
US20120253328A1 (en) * 2011-03-30 2012-10-04 Tyco Healthcare Group Lp Combined presentation unit for reposable battery operated surgical system
US9364288B2 (en) 2011-07-06 2016-06-14 Ethicon Endo-Surgery, Llc Sterile battery containment
US20150088127A1 (en) * 2013-09-24 2015-03-26 Covidien Lp Aseptic bag to encapsulate an energy source of a surgical instrument

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998006144A1 (en) * 1996-08-05 1998-02-12 Minnesota Mining And Manufacturing Company Sterilizable battery enclosure
US20030149424A1 (en) * 2002-02-07 2003-08-07 Barlev B. Alex Sterile transfer battery container
WO2007090025A1 (en) * 2006-01-27 2007-08-09 Stryker Corporation Aseptic battery assembly with removable, rechargeable battery pack, the battery pack adapted to be used with a conventional charger

Also Published As

Publication number Publication date
EP2995267B1 (de) 2018-07-11
US20160074096A1 (en) 2016-03-17
US20190015149A1 (en) 2019-01-17
US10080604B2 (en) 2018-09-25

Similar Documents

Publication Publication Date Title
EP2995267B1 (de) Vorrichtungen, systeme und verfahren für aseptischen transfer zur aufrechterhaltung der sterilität von chirurgischen instrumenten
US20210038286A1 (en) Partitioned surgical instrument
US20190388143A1 (en) Surgical forceps including reposable end effector assemblies
US9649150B2 (en) Selective activation of electronic components in medical device
EP2635222B1 (de) Chirurgisches instrument mit modularem endeffektor und detektor
EP2851033A2 (de) Aseptischer Beutel zur Einkapselung einer Energiequelle für ein chirurgisches Instrument
US20130022495A1 (en) Sterilization Techniques for Surgical Instruments
US20150088127A1 (en) Aseptic bag to encapsulate an energy source of a surgical instrument
JP2015062696A (ja) 携帯型外科用機器
US20120116266A1 (en) Surgical instrument with modular end effector and detection feature
BR112016010518B1 (pt) Instrumento cirúrgico
JP2000287987A (ja) 充電式医療装置
JP2014023932A (ja) 内視鏡的器具
US9636166B2 (en) External cooling devices and systems for surgical instruments
US10966746B2 (en) Devices, systems, and methods facilitating insertion and removal of components from surgical instruments
JP2022523956A (ja) 再使用可能な最小侵襲手術用器具
EP2779355A1 (de) Ladungsanordnungen zur Erhaltung der Sterilität der Batterien chirurgischer Instrumente beim Laden
US11627966B2 (en) Surgical stapling device

Legal Events

Date Code Title Description
PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

Free format text: ORIGINAL CODE: 0009012

AK Designated contracting states

Kind code of ref document: A1

Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR

AX Request for extension of the european patent

Extension state: BA ME

17P Request for examination filed

Effective date: 20160913

RBV Designated contracting states (corrected)

Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR

17Q First examination report despatched

Effective date: 20170607

GRAP Despatch of communication of intention to grant a patent

Free format text: ORIGINAL CODE: EPIDOSNIGR1

RIC1 Information provided on ipc code assigned before grant

Ipc: A61B 17/32 20060101AFI20180119BHEP

Ipc: A61B 18/14 20060101ALI20180119BHEP

Ipc: A61B 18/12 20060101ALN20180119BHEP

Ipc: A61B 90/00 20160101ALN20180119BHEP

Ipc: A61B 17/00 20060101ALN20180119BHEP

Ipc: A61B 17/29 20060101ALN20180119BHEP

INTG Intention to grant announced

Effective date: 20180212

GRAS Grant fee paid

Free format text: ORIGINAL CODE: EPIDOSNIGR3

GRAA (expected) grant

Free format text: ORIGINAL CODE: 0009210

AK Designated contracting states

Kind code of ref document: B1

Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR

REG Reference to a national code

Ref country code: GB

Ref legal event code: FG4D

REG Reference to a national code

Ref country code: CH

Ref legal event code: EP

REG Reference to a national code

Ref country code: AT

Ref legal event code: REF

Ref document number: 1016089

Country of ref document: AT

Kind code of ref document: T

Effective date: 20180715

REG Reference to a national code

Ref country code: IE

Ref legal event code: FG4D

REG Reference to a national code

Ref country code: DE

Ref legal event code: R096

Ref document number: 602015013279

Country of ref document: DE

REG Reference to a national code

Ref country code: FR

Ref legal event code: PLFP

Year of fee payment: 4

REG Reference to a national code

Ref country code: NL

Ref legal event code: MP

Effective date: 20180711

REG Reference to a national code

Ref country code: LT

Ref legal event code: MG4D

REG Reference to a national code

Ref country code: AT

Ref legal event code: MK05

Ref document number: 1016089

Country of ref document: AT

Kind code of ref document: T

Effective date: 20180711

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: NL

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: IS

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20181111

Ref country code: FI

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

Ref country code: RS

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

Ref country code: NO

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20181011

Ref country code: GR

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20181012

Ref country code: BG

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20181011

Ref country code: AT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

Ref country code: SE

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

Ref country code: LT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

Ref country code: PL

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: AL

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

Ref country code: LV

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

Ref country code: ES

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

Ref country code: HR

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

REG Reference to a national code

Ref country code: CH

Ref legal event code: PL

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: LU

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20180717

REG Reference to a national code

Ref country code: BE

Ref legal event code: MM

Effective date: 20180731

REG Reference to a national code

Ref country code: DE

Ref legal event code: R097

Ref document number: 602015013279

Country of ref document: DE

REG Reference to a national code

Ref country code: IE

Ref legal event code: MM4A

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: MC

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

Ref country code: CZ

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

Ref country code: CH

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20180731

Ref country code: IE

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20180717

Ref country code: LI

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20180731

Ref country code: RO

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

Ref country code: EE

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

Ref country code: IT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

PLBE No opposition filed within time limit

Free format text: ORIGINAL CODE: 0009261

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: NO OPPOSITION FILED WITHIN TIME LIMIT

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: DK

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

Ref country code: BE

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20180731

Ref country code: SM

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

Ref country code: SK

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

26N No opposition filed

Effective date: 20190412

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: SI

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: MT

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20180717

GBPC Gb: european patent ceased through non-payment of renewal fee

Effective date: 20190717

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: TR

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: GB

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20190717

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: PT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: MK

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20180711

Ref country code: HU

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT; INVALID AB INITIO

Effective date: 20150717

Ref country code: CY

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20180711

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: FR

Payment date: 20240619

Year of fee payment: 10

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: DE

Payment date: 20240619

Year of fee payment: 10